DEBRA LYNN BARHAM-NOKES ARNP
NPI 1164865192
Nurse Practitioner in Wenatchee, WA

Q: What is Debra Barham-nokes's NPI number?

The NPI number for Debra Barham-nokes is 1164865192. It was assigned to this individual provider in the NPPES registry on April 9, 2013. The provider is also known as Debra Lynn Keen.

Q: What is Debra Barham-nokes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2022, Nov 16, 2015 (2 updates tracked since 2015).

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About Debra Lynn Barham-nokes Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA LYNN BARHAM-NOKES ARNP (NPI 1164865192) is an individual nurse practitioner in Wenatchee, Washington, licensed in Washington (AP60600750) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2012).

NPPES Registry Identity

NPI1164865192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEBRA LYNN BARHAM-NOKESCredential: ARNP

Location Address820 N CHELAN AVEWenatchee, WA 98801-2028

Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711

Phone(509) 663-8711

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2012

Enumeration DateApril 9, 2013

Last NPPES UpdateMay 26, 20222 updates tracked since enumeration

NPPES CertifiedMay 26, 2022

✔ NPI 1164865192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60600750

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

820 N CHELAN AVE, Wenatchee, WA 98801

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Other Names 1

Former Name (1)Debra Lynn Keen

Other Identifiers 2

OtherP01556056WA · Rr Ptan

Medicaid1164865192WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra Lynn Barham-nokes Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840423943

PECOS Enrollment IDI20151015002496

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Debra Barham-nokes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wenatchee Valley Hospital

Same address

Multi-Specialty

820 N CHELAN AVE
Wenatchee, WA 98801

Reassigned Medicare billing, Washington enrollment
558 clinicians in this Medicare group

NPI 1669719688 (509) 663-8711

Central Washington Health Services Association

0.4 mi

Emergency Medical Services

1201 S MILLER ST
Wenatchee, WA 98801

Reassigned Medicare billing, Washington enrollment
651 clinicians in this Medicare group

NPI 1801937453 (509) 662-1511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

52 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services31 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

31 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500016

Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A HESNER PT

Physical Therapist